A nurse is providing teaching to a client who has a prescription for a quadruple marker screen. Which of the following statements by the client demonstrates an understanding of the teaching?

A. Cleanse the client's meatus with antiseptic solution: This step is performed after the sterile field is established. Cleansing the meatus is essential to prevent infection, but it is not the first action in the catheter insertion sequence.

B. Position the sterile drape leaving the perineum exposed: Establishing a sterile field is the first priority to maintain aseptic technique throughout the catheterization process. Proper draping helps reduce the risk of contamination.

C. Attach a prefilled syringe to the catheter inflation hub: This is done in preparation for balloon inflation but should occur after the catheter is in the bladder and sterile field is set. Doing it too early may interfere with the sterile setup.

D. Lubricate the catheter with water-soluble gel: Lubrication reduces urethral trauma but is performed after the sterile field is prepared and supplies are arranged. It is not the initial action in the procedure.

A. Insert an NG tube for a client who requires enteral feedings: Inserting an NG tube requires nursing knowledge, assessment skills, and sterile technique. This is beyond the scope of practice for assistive personnel and must be performed by a licensed nurse.

B. Transfer a client to physical therapy: Transferring stable clients is within the role of assistive personnel, especially when proper transfer techniques are used and the client does not require complex assessments during the transfer.

C. Obtain a client's vital signs every 4 hr: Monitoring and recording routine vital signs is a standard task for assistive personnel. The nurse retains responsibility for interpreting the findings and acting on abnormal values.

D. Instruct a client on the use of an incentive spirometer: Teaching or reinforcing client education requires nursing judgment and is not within the scope of practice for assistive personnel. This task should be performed by a licensed nurse.

E. Record a client's intake after each meal: Documenting intake, including the amount consumed, is appropriate for assistive personnel. The nurse will then interpret this data as part of the client’s fluid or nutritional status monitoring.